Individual
JENNIFER R STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
824 N 99TH AVE STE 109, AVONDALE, AZ 85323-5327
(623) 907-6520
Mailing address
824 N 99TH AVE STE 109, AVONDALE, AZ 85323-5327
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-18777
AZ
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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